39738D - Cassese

]CAMA/ ❑DREDGE & FILL
"EN ERAL PERMIT Previous permit#
New ❑Modification ❑Con'iplete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural ources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ., , ,
[ Rules attached.
it Name 6er2 eV le vG Cr,SS FS e- Project Location: County I.wiC i
; 3 3 L A/t6.4 4 Street Address/State Road/Lot#(s) 334
f D 8aM ijccii_4 State Lk ZIP ziS -ZILZ. /L-ii-tA wit. 5
1'( ) Fax#( ) Subdivision /1,14,1,,-04
zed Agent ✓t5fro TiicUG,S City !-1 -(dog) ( CCcc-h ZIP ,` 4(r
I LiCW lyVN PTA ❑ES ❑PTS Phone# ( ) River Basin / /;,.,
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat
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Attached: e3 no}
ling permit may be required by: 7 Y)(r air(r/,- 1 (54"l, , n See note on back regarding River Basin

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Caen--vl eve Ca54 CS e-
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA: .Q! PROJ DESC: r" - I.
(Will only take 6) ) (Will only take I)
WORK: pe_ (p, 3670 7 $/ /2=
(Will only take 4)
EL to to
MAINT:
(Will only take 4)
IMP: OW Zg6,
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: t/1610,-( if/1./05
CAMA MAJOR DEVEL REQUIRED: (( (V (� y l//1,( U

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CAMA/ ❑DREDGE a FILL °
IENERAL PERMIT Previous permit#
New 11 Modification ❑Complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r7/1 /2 00
Rules attached.
Name Ci4en eV(PA/6 e4 SS CS a Project Location: County 1}ruh,s& ) CL.
3 3 L- 'Pt akke,t 53 Street Address/State Road/Lot#(s) 331+
&a44 state )JG ZIP 7$4 Z- Ma&LIA. S 5
( ) Fax#( ) Subdivision /litt.t _t 55
ad Agent d4.l 0T-I CGhLObS City 1- (den (3& c-h ZIP 2811-6
CW yr.Ew PTA TT ES ❑PTS Phone# ( ) River Basin l_t it
❑OEA ❑HHF ❑IH E UBA ❑WA Adj.Wtr. Body R-tw W (nat 1
❑ PWS: ❑FC:
fes /6 PNA yes /(c) Crit.Nab. yes / no Closest Maj.Wtr. Body !9?WL,cJ
Project/Activity CO nSIYl.cct �G" bre,C
(Scale: I
k)length 3(,O1 (D
;s) 1 Z X$ 1(U x it)'" — j I---- t --. 4 t
ar(s) 4`IC 12- 4�1(J i , 1 11 - l , , , _ W i- ; i I _7 _
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lber 1 ' '
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/Riprap length , _ ..-__ I-- .?x � _ - .FTt
distance offshore • i I
c distance offshore ' '
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annel 1 , i
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SIC yards 1 i I ? !
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>e/Boatlift i
-._ i . + .1 i_. _t• - -- - I - ---+--i t-
illdozing _
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:
» I I- ...i -.-- r_..-i--i--- l Y._. 'T - __- t- -_ .. I .J Y-..- A--4
!Length IS j ' ! ' �� i
not sure yes 1 i i
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um: n/a yes i i ! to,
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yes ilir, ' WAi"
scathed: C)43; ._ f.5 veD ' i iv- (,.UA(vtm
ig permit may be required by: 7jWyi c( ttDt ctC'n E33ach n See note on back regarding River Basin

82-40/1021
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PAY EXACTLY
PAY TO THE PAW-IFNT FnRr;A•E"C;T M
ORDER OF
(t 2 /—7 2a a pc.fPA.;;tir rS. Ani:REST.
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PU R,SIGNER FON GNAWER
PURCHASER SIGNI YOU AGREE TO THE TERMS ON THE REVERSE SIDE.
Western Union Money Order and Design is a service mark of Western Union Holdings,Inc/Payable at Wells Fargo Bank Grand Junction-Downtown,N.A.,Grand Junction,Colorado
I: L02L0040Di: 40080542LLL24711'
MONEY ORDER RECEIPT - NON NEGOTIABLE
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Payable ro'. 0
UJ Retain thls purchasers copy.R must be Included with ell refund requests.Be sure to reed important Information below
d on back.
CC PURCHASE AGREEMENT:You Me purchaser agree that Integrated Payment Systems less(Inc.yy need not stop cepayment n.or
reOrder at the time of purchase,and(2)yoace.or refund a lost or stolen u repoed rt the loment ss torntheft to Moneyc nte atedd Payrder nme if Systems ou'lInc l in inawriting immediately f the
��qaN Issued by Integrated Payment Systems Inc.,Englewood,Colorado.For customer service,cell 1-600-999 9660.
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